Individual provider Active NPI

Benjamin Leo Gamache, DC

  • Chiropractor
  • Smithtown, NY
National Provider Identifier
1780292433
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013373 Issued in NY
Practice address
301 Maple Ave
Smithtown, NY 11787-4900
Phone
(631) 543-0004
NPI assigned
Jul 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013373 NY Primary

Addresses

Primary practice location

301 Maple Ave
Smithtown, NY 11787-4900

Mailing address

7 Huckleberry LN
East Setauket, NY 11733-1801
Phone (413) 663-0253

Other practice location 1

260 Middle Country Rd Ste 7
Selden, NY 11784-2569
Phone (631) 696-4371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
013373NYMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1780292433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HUCKLEBERRY LN",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331801",
            "telephone_number": "413-663-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874900",
            "telephone_number": "631-543-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Middle Country Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Selden",
            "state": "NY",
            "postal_code": "117842569",
            "country_code": "US",
            "telephone_number": "631-696-4371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMACHE",
        "first_name": "BENJAMIN",
        "middle_name": "LEO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.